Page 189 - PJ MED OPS Handbook 8th Ed

1. Dividing the MCI into sectors and assign team members to specific areas of coverage.
2. Insure no patient is missed and duplication of effort is avoided.
3. Establish the CCP and determine patient priority.
4. Limits of medical supplies and equipment and best location for backup supplies to allow gen-
eral access.
5. Extent of means of transportation to definitive medical care.
6. Number of available medical facilities, their proximity to scene, and capability of each facility
for handling patients.
7. Number of non-medical personnel available and how they can be best organized to function the
most efficiently as litter bearers and prevented from interfering with proper medical treatment.
8. Communication control so that reports of the situation and requests for supplies, personnel
and transportation are coordinated and consistent to avoid confusion and inefficiency.
9. Establishment of a central point for carrying out ongoing essential care and loading for
transportation.
10. Track patients from first contact through to hand-off to higher care.
Retrieval team member responsibilities:
1. Determine extent of covered area (scan for number of patients, where patients may be hidden).
2. Direct ambulatory patients to come to you. Accompany or send them to CCP for accountability,
and additional duty assignment by TL or TC – security, litter bearer, etc.
3. Set pattern for finding and evaluating patients so none are missed.
NOTE: Patients with obvious life-threatening conditions should be approached first (e.g., re-
spiratory distress, active bleeding).

4. Patient triage assessment should be completed in less than 60 seconds.
5. Limit treatment to: tourniquets, NPAs, and put patients in recovery position. Utilize judgment if
needle decompression is emergently needed.
6. Count them and report number to TL as able.

CCP Medic responsibilities:
1. Gather and place med gear centrally from patients and other PJs.
2. Direct retrieval team members to place patients in predetermined locations.
3. Treat red patients as they arrive. Control life threatening hemorrhage (M) in all patients first.
Use helpers to apply direct pressure. If there are too many patients, use pressure dressings with
cravats. DO NOT stay with one patient if many reds are there.
4. Address airway and respiration (A,R) in each patient sequentially.
5. Start lines and treat for shock (C) if possible – blood products, TXA, 2 lines if possible.
6. As other PJs become available from the retrieval team, the CCP Medic is primary and should
delegate work.
7. Provide the remainder of tactical field care (PAWS) and package patients for exfil. Instruct pa-
tients to take their pill pack if they have one.
8. Document care on patient treatment card.

Chapter 14. Triage and Mass Casualty Management n 187